HomeMy WebLinkAbout14-137Authorization Number 7
(Office Use Only)
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Department
Monday
mm
1. Name
2. Mailing Address—k3,6....� i(�
3. Telephone: t-lorne JLq qe12 Other:
4. Prior experience in transportation of passengers:
5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? tff>
. ytpe of offeirnse Where When
.......w. . ....................... ._...... ._......... ..............................................................................................l!, .1:mf
6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five
years?
7. Have you been convicted of any traffic offenses in the last five years?
Dmg of offense Where When
Ia., .. ................................................m._._......... f n_(�.ft h.. ...._).f.a............................... _..2!Ei_r�..__._..._..........................................
8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years?
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9. Have you ever applied to bean Iowa City taxi driver using a different name? If yes, please provide the name(s)
+ 41 JIMAJA&I 0 VIN I I U 4 W-Ak 0 [OIL, 1291- .+
03/2014
I hereby certify tha�t
d�I� �have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number
"a a7rl W r24
Z . I understand that if I falsely answer any questions in this application, that this
application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will
be denied. I agree that in making this application, I consent to allow agents or employees of the City of Iowa City, Iowa, in
their discretion, to examine any and all records and documents relating to this application, and I further agree that, if a license
is granted, to comply at all times with all of the provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front
of a Notary Public)
Signature of Applicant ... "....,,,,, .e, ..1?!!,!il.........,,...,.,, Date" s
YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY
CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org.
STATE OF IOWA )
COUNTY OF JOHNSON )
2(164
ore me b r ... '` 0 tQ � OjO -lW t° On this day of
Su
cn a an
d sw n to of y
ota Fublic in
�. ...r,Ct LLIL K. TUTiLE F"+..<;^�-,C�Mflr /,,. ti.4..E
Luinms,si, n hlurnber221®1& ry and for the State of Iowa
.....***************##*##ikk*****%*%#*********#**k*#*********************#*#***%*********#*#**
I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter-
mined that there is no information which would indicate that the issuance would be detrimental to the safety, health
or welfare of residents of the City of Iowa City (Title 5, Chapter 2, City Code).
Sign e of Pore hief or designee Date
YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY
CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org.
Signature of City Cleric or designee
...
Date
Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8'/z' (width) and 5'/z"
(height) and prominently displayed to all passengers.
Office Use Only
Approved application
DCI report
State certified driving record
Website update
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Inquiry DateN 5/1312014
Nameg Trimbell, Nicholas Scott
r dre DODGE
Duty/State: IOWA CITY, IA 522404636
Mailing Address: 636 S DODGE ST APT 6
(Mailing City/Stator IOWA CITY, IA 522404836
Convictions
Certiffied Abstract of IDw•iro ing Record
DL/ID M
700YY9754 (IA}
Customer d:
377:1.60
Class:
D
IID ,Status:
None
Audit u
5200022
IDI. Statuunr
VAL
Issue Date:
05/04/2011
CD1 Status:
None
Expiration Datau
07/13/2016
CDIL Cart Statues:
None
Endovsemeatm
3
CDIL Med.Matum
None
Restrictions:
NONE
Iftestructlonn
None
Date of Slrthu
7/13/1978
Supplement. -
Sam
M
Mn,ta Co uu lcv"tllon Date .dICID IL�ne7aurauntatloun Carnant^y „JR%
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'A2 ,�I1.2/Il �l1'2CIIL2 jPfi llh4 FaC111tr1011a:Y lu'aTCfPc Ifµpu' S110m6aV ,Johnsoan JA
OI,Dero" nD While 'Y"ntoodcaftfd Tast Refusal/'rest Failure Viollatimis
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Ilievollied 1C,",xf2012003 „I'7V11612003 ;,1490 e?M'tl est FaHwe IIIA Illmt......
Name: Trlmbell, Nicholas Scott DL/ID: 700YY9754
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® "° 5/13/2014
Office of Driver Services
Iowa Department of Transportation
Nameu Trlmbell, Nicholas Scott DL/ID; 700YY9754
111 11 Jun:17. 2014 12:42PM Div of Criminal Investigation No. 2712 P. 1
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Received Time_Jun.16._2014_ 2.54
Jun® 11. 2014 12:42PM Div of Criminal Investigation
IOWA CRIMINAL HISTORY DC:I 00620519
F14LONY CONVICTION PAGE 1 OF 4
DATE PRINTED-
DCI:006205I5 2014/06/17
NAME: TRINBELL,NICHOLAS SCOTT
DOE $RI. RAC HGT NET EYE HAIR Sim POB
19700713 M w 509 170 BRO ERO FAR YA.
ADDITIONAL IDENTIFIERS
TAT BACK
TAT R LZO
TAT UL ARM
C01 RECORD ***
01 ARRESTMD 20000512
AGENCY: XA0070100 CHDAR P"BhIrLS PD
CHARGE NO- 01 IA STATUTE 'IA123-47(1)
PROVIDING ALCOHOL TO MINOR
TRK#: 600115601
COURT DISPOSITION
AGENCY: IA007015J RLA.CK, HAWK CO I)I'.ST COURT
COUNT NO- 01 1A xpA':G"CPgR" :IA123.141-1
PROVIDING ALCOHOL TO MINORS
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: 600115601
SENTENCE
FINE $250
PRONATI :%.Y
SUSPENDED 60D
02 ARRESTED 20020723
AGENCY: IA0070100
CIDAP PALLS PD
CHARGE NO- 01
1A STATUTE IA224-401-5
PUSS MARIJUANA
TRK#a 600841401
CHARGE NO- 02
IA STATUTE IA714-2-4
THHFT 4TH
TRK#: 600841402
COURT DISPOSITION
AGENCYx ZA007015a
BLACK HAWK CO DIST COURT
COUNT NO- 01
IA STATUTE IA124.. 414
POSSESSION OF DRUG
PARAPHERNALIA
COURT CASE ID® 01071 SRCR107637
C OR.CLASS: MISDEMEANOR CONVICTION
TRK#: 600841401
RESTITUTxON
SENTENCE
FINE
$50
COURT DISPOSITION
AGENCY: IA007015J
BLACK HAWK CO DIST COURT
COUNT NO- 02
IA STATUTE :IA71,4., 2(4)
TCHiw.I+'T 4TH W; EGREN .,.
1970
DISP EFP DAT
20000912
20000912
20000912
DD:ISP EPF DAT
20021018
No, 2112 P. 2
J,un,17. 2014 12:42PM Div of Criminal Invest gation
7'C1. 00620515
9azh7.CE 2 OF 4
COURT CASE ID: 01071 SRC.R107637
CHARGE CLASS; MISDEMEANOR CONVICTION
TRK#: 600841402
RESTITUTION
SENTENCE DISP EFF DAT
SUSPENDED JAIL 30D 20021010
FINE $250 20021018
PROBATION 2Y 20021018
0.3 ARRESTED 20030/308
AGENCY: IA0070000 BLACK RANK CO SO
CHARGE NO- 01 IA STATUTE IA:421,6-2
OWI IST OFF 6E
TRK#: 601141201
COURT DI'SPOS;IIT.ION
AGENCY:, IA00'701.5J ELACK HAWK CO DIST COURT
COUNT NO- 01 IA STATUTE IA321,7,2(A)
OPER VMH WIT INT (OWI) f IST OFF
COURT CASE ID: 01071 OWCRI14032
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#w 601141201
DRUNK DRIVING SCHOOL
LICENSE REVOKED
SUBSTANCE ABUSE EVALUATION
:RESTITUTION
SENTENCE
DISP EFF DAT
TIME SERVED
SD
20040106
SUSPENDED u1A,: lig
115D
20040106
JAIL
1201)
20040106
FINE
$1000
20040106
PROBATION
2Y
20040106
7 ,.. s .iii'..
AGENCY: IA0070100 CEDAR FALLS PD
CHARGE NO® 01 ICA STA..CUTE" LA124.401(5) (M)
POSSESSION OF NARIJUANA
TRK#: 601629101
C0URT DISPOSITION
AGENCY; IA007015S BLACK HAWK CO DIST COURT
COUNT NO- 01 IA STATUTE IA124,401(3)- 2
POSSESSION CONTROLLED MSTAXCR, MARIMANA
COURT CASE ID; 01071 SR 124512
CHARGE CLASS: MISDEMEANOR CONVICTION
TRK#: 601629101
LICENSE REVOKED
SUBSTANCE ABUSE EVALUATI.oN
No. 2712 P. 3
Jun,17, 2014 12:43PM Div of Criminal Invest gat,ion
DCI 00620515
PAGE 3 OF 4
SENTENCE
DISP PERR' DAT
COMMUNITY CORRECTIONS
20050110
SUSPENDED 0AT.1,
60D
20050110
FINE
$250
20050110
PROBATION
2Y
20050110
IMPOSED
PROBATION
-20061207
REVOKED
PRISON
20061207
TIME SERVED
60D
20070529
COURT DISPOSITION
AGENCYr ZA007015J
SLACK HAWK CO DIST COURT
COUNT NO- 01
IA STATUTE IA714.2(5)
THEFT STH DEGREE -
1978
COURT CASE ID: 01071 SMCR124519
CHARGE CLASS: MISDEM RAWOR CONVICTION
TRK4 601629102
SENTENCE
DISP SVP DAT
FINE
$50
20050110
f :.l ,,! e.1,.,
AGENCY: ZA0070300 WATERLOO PD
CHARGE NO- 01 IA STATUTE IA713.6(A)
BURGLARY 3RD DEGREE
TRK#i 602417201
COURT DISPOSITION
AGENCY: IA007015J BLACK HAWK GO DIST COURT
COUNT NO- 01 IA STATUTE IA713.6A(1)
BURGLARY 3RD DEGREE
COURT CASE ID: 01071 FEC9190893.
CHARGE CLASS: FELONY CONVICTION
TRK#: 602417201
RESTITUTION'
SENTENCE
DISP EPP DAT
COMMUNITY
CORRECTIONS
20061113
FINE
$750
20061113
SUSPENDED
PINE $750
20061113
SUSPENDED
PRISON 5Y
20061113
PROBATION
5Y
20061113
PRISON
SY
20061113
AN ARREST WITHOUT DISPOSITION �T.9 NOT AN INDICATION OF GUILTTHIS RECORD
MAINTAINED BY IBM XOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF
IDENTIFICATION 19 A PUBLIC RECORD BUT CAN ONLY HE RELEASED TO NOR -LAW
ENFORCEMENT D
IN THE ABSENCE OF IDENTIFICATION
RECORD IS
BASED
014 INFORMATIONFURNISHED. WE CANNOTCONFIRM ♦Ri
,COVERS THE SUBUECT OF YOUR INQUIRY,
Na, 2112 P. 4
Jun.17. 2014 12:43PM Div of Criminal Invest gat on k2712 P. 5
DIVISION OF CRIMINAL INVESTXQATION
I